Confidentiality means respecting the client’s right to keep their information private. When can the nurse share information about the client? Select all that apply.
The client is discharged to the parent's care.
The client threatens to harm a family member.
The client admits to domestic abuse.
The client's legal guardian asks for information.
The client gives written permission.
Sharing the information is in the client's best interest.
Correct Answer : B,D,E
Choice A reason: Discharge to a parent’s care does not automatically permit sharing of information unless the client is a minor or has given consent. Adult clients retain confidentiality rights regardless of discharge arrangements.
Choice B reason: Threats to harm others trigger the duty to warn and protect. In such cases, confidentiality can be breached to prevent harm, making this a legally and ethically justified exception.
Choice C reason: Admission of domestic abuse does not automatically permit disclosure unless the client is a vulnerable adult or child. Mandatory reporting laws vary, and consent or legal criteria must be met before sharing.
Choice D reason: Legal guardians have the right to access information for clients who are deemed incompetent or legally dependent. This is a valid exception to confidentiality.
Choice E reason: Written permission from the client is the most straightforward and legally sound basis for sharing information. It ensures informed consent and protects both the client and provider.
Choice F reason: Acting in the client’s best interest does not override confidentiality unless legal or ethical exceptions apply. This rationale is too vague and subjective to justify disclosure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Thought content refers to what the client is thinking—such as delusions, obsessions, or suicidal ideation. It focuses on the themes and beliefs expressed, not the logic or coherence of the ideas.
Choice B reason: Ability to concentrate involves attention span and focus, such as the ability to follow a conversation or complete a task. It does not assess the logic or structure of ideas.
Choice C reason: Thought process evaluates how thoughts are organized and connected. When ideas are illogical or disjointed, it indicates a disturbance in thought process. This may manifest as tangentiality, flight of ideas, or loose associations.
Choice D reason: Memory assesses the ability to recall past events, retain new information, and retrieve learned material. It does not involve evaluating the coherence or logic of current thoughts.
Correct Answer is D
Explanation
Choice A reason: Amputation is a physical loss that alters body integrity and function. It often leads to grief due to changes in identity, independence, and lifestyle. This is a clear example of physiological loss.
Choice B reason: Mastectomy involves the surgical removal of breast tissue, which can affect body image, femininity, and self-esteem. It is a physiological loss with emotional and psychological consequences.
Choice C reason: Loss of mobility due to a stroke is a direct physiological impairment. It affects daily functioning and independence, often triggering grief and adjustment challenges.
Choice D reason: Loss of a job is a psychosocial or situational loss, not a physiological one. While it can lead to grief, it does not involve physical changes to the body or health status.
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